| NPI | 1245800044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NE 14750) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: MD 18879) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |